Conditions Treated

Chronic pain is pain that persists beyond the normal time of healing, or occurs in diseases in which healing does not take place.

Chronic pain can occur when no obvious cause can be found, and is thought to be due to changes in the nervous system. It can affect any part of the body and people of any age including children.

Common chronic pain complaints include low back pain, neck pain, joint pains, headaches, neuropathic pain(pain resulting from damage to the peripheral nerves or to the central nervous system itself), pain persisting after surgery and fibromyalgia.

More than 1.5 billion people worldwide suffer from chronic pain and that approximately 3 – 4.5% of the global population suffers from neuropathic pain, with incidence increasing with age. The negative impact that chronic pain has upon individual people and families is enormous and alarming.

At Pain Spa we use our experience in helping you manage these conditions better. Treating your underlying condition is, of course, vitally important. But often that may not be possible or does not resolve chronic pain. At Pain Spa we take a holistic approach, one that not only addresses the physical aspect of pain, but also the psychological aspects.

Pathophysiology of Chronic pain

shutterstock_115091962At a fundamental level, chronic pain is a matter of biology: Errant nerve impulses keep alerting the brain about tissue damage that no longer exists. At the same time complex social and psychological factors are also at play and seem to determine who fares well despite severe chronic pain and whose lives quickly unravel.

Negative emotions, including sadness and anxiety, seem to aggravate chronic pain. For example, people who dwell on their discomfort tend to be more disabled by chronic pain than people who try to lead normal lives inspite of pain. Among people with chronic pain stemming from work-related injury, those who report poor job satisfaction fare worse than those who enjoy their work.

Negative emotions can be a result of chronic pain as well as a cause. Pain makes you feel low, especially if you have been an active person through out your life. Depression is common in chronic pain but to say ‘pain is all in the head’ is fundamental lack of understanding of the process of chronic pain.

At Pain Spa we blend advanced medical knowledge with modern treatment methods and interventions to improve your pain. At the same time we are determined to improve your understanding of chronic pain and help equip you with coping strategies that will have a positive impact on your quality of life.

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Back Pain

Low back pain is pain, muscle tension, or stiffness in the lower back with or without leg pain (sciatica). It…

Chronic Abdominal Wall Pain

Chronic abdominal wall pain occurs in about 10–30% of patients presenting with chronic abdominal pain. Entrapment of abdominal cutaneous nerves…

Chronic Facial Pain

Chronic orofacial pain (COFP) is an umbrella term used to describe painful regional syndromes with a chronic, unremitting pattern. It…

Chronic Fatigue Syndrome (CFS)/ ME

Chronic fatigue syndrome (CFS) is a serious disorder characterised by persistent post-exertional fatigue and substantial symptoms related to cognitive, immune…

Chronic Migraine

Chronic migraine is defined as headache on more than 15 days per month in patients with migraine. Chronic migraine is…

Chronic Pelvic Pain

Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of at least…

Coccyx Pain

Pain in the region of the coccyx is referred to as coccygodynia. Despite being recognised for many centuries, coccydynia remains…

Complex Regional Pain Syndrome (CRPS)

Complex regional pain syndrome (CRPS) is a debilitating condition, characterised by pain in a limb, in association with sensory, vasomotor, sudomotor,…

De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is the most common entrapment tendonitis of hand and wrist after trigger finger. It is most commonly…

Diabetic Peripheral Neuropathic Pain (DPNP)

Diabetes is a worldwide epidemic, and associated neuropathy is its most costly and disabling complication. Painful diabetic neuropathy is a…

Dorsal Scapular Nerve Entrapment Syndrome

Dorsal scapular nerve (DSN) entrapment syndrome is an under-recognized cause of neck and shoulder pain. DSN injuries can be the origin of a…

Failed Back Surgery

Failed back surgery syndrome (FBSS) is a term embracing a constellation of conditions that describes persistent or recurring low back…

Fibromyalgia

Fibromyalgia is a complex condition that is characterized by chronic widespread pain and multiple other symptoms, including fatigue, sleep disturbances,…

Frozen Shoulder (Adhesive capsulitis)

The terms adhesive capsulitis, frozen shoulder and periarthritis have been used for patients with shoulder pain and mobility deficits. Adhesive…

Genitofemoral Neuralgia

Genitofemoral neuralgia is a cause of neuropathic pain that is often debilitating in nature. It is characterized by chronic neuropathic…

Golfer’s Elbow

Epicondylitis is one of the most common elbow problems in adults, occurring both laterally and medially. Medial epicondylitis of the…

Headaches

Headache accounts for 4.4% of consultations in primary care (6.4% females and 2.5% males). Unless a correct diagnosis is made,…

Herniated Discs (Disc Prolapse)

Disc herniation is a broad term referring to a tear in the outer ring (annulus, thus allowing the soft gelatinous…

Ilioinguinal Neuralgia

Ilioinguinal neuralgia is one of the most common causes of lower abdominal and pelvic pain encountered in clinical practice. Ilioinguinal…

Iliotibial Band Syndrome

Iliotibial band syndrome is a common source of knee pain. The most common symptom is lateral knee pain caused by…

Intercostal Neuralgia

Intercostal neuralgia refers to a neuropathic condition involving the intercostal nerves, manifesting as intense dysesthetic pain, e.g., sharp, shooting, or…

Intractable Hiccups

‘Intractable hiccups’ are present if the attack lasts more than 1 month. The incidence and prevalence of persistent and intractable…

Ischial Bursitis

Bursitis is an inflammation or degeneration of the sac-like structures that protect the soft tissues from underlying bony prominences. Bursitis…

Knee Pain

Osteoarthritis is the most prevalent form of arthritis, with an associated risk of mobility disability (defined as needing help with…

Lumbosacral Plexopathy

Lumbosacral plexopathy is an injury to or involvement of one or more nerves that combine to form or branch from…

Meralgia Paresthetica

Meralgia paresthetica is a painful mononeuropathy of the lateral femoral cutaneous nerve (LFCN), presenting as unpleasant paresthesia, pain, and numbness…

Migraine Headaches

Migraine is a common, multifactorial, disabling, recurrent, hereditary neurovascular headache disorder affecting 15% of the population during the formative and…

Morton’s Neuroma

Morton’s neuroma is a benign fibrotic thickening of a plantar interdigital nerve that is a response to irritation. Also known…

Myofascial Pain

Myofascial pain is one of the most overlooked and ignored sources of acute and chronic pain, and at the same…

Neck Pain

Chronic neck pain is a common condition and is perhaps second only to chronic low back pain as the most…

Neuropathic Pain

Neuropathic pain is a multidimensional entity that continues to present a challenge to medical professionals with regards to its diagnosis…

Occipital Neuralgia

Occipital neuralgia is defined as a paroxysmal shooting or stabbing pain in the distribution of the greater or lesser occipital…

Opioid Dependence

There has been a constant struggle to define the role of opioids in medical therapy, due to their potential for…

Osteoarthritis

Osteoarthritis (OA) is the most common condition to affect synovial joints and causes significant dysfunction and disability. Because osteoarthritis increases…

Phantom Limb Pain

Phantom-limb pain is a common sequela of amputation, occurring in up to 80% of people who undergo the procedure. It…

Piriformis Syndrome

Piriformis syndrome is an elusive clinical entity. It is likely that this condition is overlooked and overdiagnosed with equal propensity….

Plantar Fasciitis

Plantar fasciitis, reportedly the most common cause of pain in the inferior heel, is estimated to account for 11 to…

Post Hernia Surgery Pain

Approximately 96% of all groin hernias are inguinal hernias, with the remaining 4% being femoral. Hernias are bilateral in 20%…

Post Herpetic Neuralgia

Post-herpetic neuralgia occurs when the pain associated with shingles becomes chronic. Definitions of post-herpetic neuralgia differ in terms of the…

Post Mastectomy Pain Syndrome

Several studies have shown that persistent pain after treatment for breast cancer is a common problem, ranging between 25% and…

Post Surgical Pain

The incidence of chronic post-surgical pain (CPSP) is at an increase, with increase in the number of surgeries being performed….

Post Traumatic Stress Disorder (PTSD)

Post-traumatic stress disorder (PTSD) is a chronic anxiety disorder caused by seeing or experiencing traumatic events. The symptoms of PTSD…

Pudendal Neuralgia

Pudendal neuralgia (PN) is defined as the existence of pain in the distribution of the pudendal nerve. Pudendal neuropathy can…

SacroIliac Joint Pain

The relationship between the sacroiliac joint (SIJ) and low back pain has been a subject of much debate with some…

Sciatica

The term sciatica describes leg pain with or without back pain. It may be accompanied by other symptoms including tingling,…

Shoulder Pain

Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can…

Spinal Stenosis

Lumbar spinal stenosis is a condition that involves narrowing of the spinal canal, nerve root canals, or tunnels of the…

Spondylosis

Cervical spondylosis is a common degenerative condition of the cervical spine. It is most likely caused by age-related changes and…

Supraorbital Neuralgia

Supraorbital neuralgia is characterized by persistent pain in the supraorbital region and forehead with occasional sudden, shocklike paresthesias in the…

Temporomandibular Disorders (TMDs) or TMJ Dysfunction

Temporomandibular disorders (TMDs) are a group of related musculoskeletal conditions affecting the masticatory muscles, the temporomandibular joint (TMJ), and associated structures. They…

Tennis Elbow

Lateral epicondylitis, or ‘tennis elbow’, is a common condition that usually affects patients between 35 and 55 years of age….

Thoracic back pain

Spinal pain is a well recognised condition associated with significant personal and community burdens. The most common spinal regions studied…

Thoracic Outlet Syndrome

Thoracic outlet syndrome (TOS) is a poorly characterized disease entity with a wide differential diagnosis. First coined in 1956 by…

Trigeminal Neuralgia

Trigeminal neuralgia is a rare, episodic facial pain that is unilateral, electric shock-like, and provoked by light touch. At first,…

Trochanteric Bursitis

Trochanteric bursitis is a term used to describe chronic, intermittent pain accompanied by tenderness to palpation overlying the lateral aspect…

Whiplash Injury

Whiplash-associated disorder (WAD) presents a significant public health problem and socioeconomic burden. Although it is widely held that the majority…

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